Category: Mental Health

Royal College of Psychiatrist

Eliminating inappropriate out of area placements in mental health

Source: Royal College of Psychiatrist

The government’s deadline to eliminate inappropriate out of area placements for adult acute patients by the end of March 2021 has now been missed by a full year. Sometimes hundreds of miles away from home, patients are unable to access their usual support networks while at their most vulnerable, often finding their care seriously disrupted, with long-term implications for their recovery. The NHS spent £102 million on inappropriate out of area placements in the 12 months up to and including March 2022 – the equivalent to the cost of the annual salary of more than 900 consultant psychiatrists. This briefing sets out the urgent action the NHS should take to ensure all patients get the care they need from properly staffed, specialist services in their local area.  

Mental health and loneliness

The relationship across life stages

Source: Department for Digital, Culture, Media and Sport (DCMS)

This report presents the findings from a qualitative study exploring the experiences of loneliness among those who had experienced a mental health condition. Previous research has shown there is a link between experiences of loneliness and poor mental health. The DCMS commissioned the National Centre for Social Research (NatCen) to explore this issue across four key life stages as part of developing the evidence base for work on tackling loneliness.

Tackling mental health disparities

Centre for Mental Health 

Source:King’s Fund

Mental health inequalities mean that while it is true that anyone can experience mental ill health, the risks are much higher for certain groups who experience structural discrimination and disadvantage. This briefing sets out 10 evidence-based actions that the government could take in the forthcoming disparities White Paper. Read the briefing here.

Public Health

Current Awareness Updates

Monkeypox cases reported in the WHO European Region.
World Health Organization (WHO); 2022.

(Links to 2 reports: Monkeypox – United Kingdom of Great Britain and Northern Ireland; and Monkeypox – Key facts. While the number of cases in the Region is still relatively small, what is concerning is that some of the cases appear to have been acquired in the Region without a link to travel to countries where monkeypox is known to be endemic. Many cases have been detected in clinics specialized in sexually transmitted infections.)

Mental Health Awareness Week 2022: Loneliness.
House of Commons Library; 2022.

(How does loneliness affect our mental health and what the Government has done to address the issue?)

Vaccine uptake in the general population.
National Institute for Health and Care Excellence (NICE); 2022.

(This guideline aims to increase the uptake of all vaccines provided on the NHS routine UK immunisation schedule by everyone who is eligible. It supports the aims of the NHS Long Term Plan, which includes actions to improve immunisation coverage by GPs (including the changes to vaccinations and immunisations detailed in the 2021/2022 and 2022/23 GP contracts) and support a narrowing of health inequalities.)

The over-representation of Black people as restricted patients in secure hospitals. Nuffield Trust chart of the week.
Nuffield Trust; 2022.

(People with severe mental health problems who are in contact with the criminal justice system can be held as restricted patients in hospitals if they have been assessed as needing treatment. Miranda Davies takes a closer look at new data that shows that 16% of restricted patients in hospital are Black or Black British, despite only making up 3% of the general population.)

Smoking bans in prisons improve health and reduce medications.
NIHR Evidence; 2022.

(This study found that the smoking ban did not affect dispensing for mental health conditions which suggests that it did not increase levels of depression. However, the researchers caution that there may have been an impact on mental health since, in the interviews, some prisoners reported raised anxiety levels. Improvements in respiratory health were especially marked. Removing second-hand smoke from prisons also improved working conditions for staff.)

Public Health

Current Awareness Updates

Improving inclusion in health and care research: reflections and next steps.
HSR UK; 2022.

(In autumn 2021 HSR UK, the Nuffield Trust, The King’s Fund, The Health Foundation and PPI representatives from The Health Foundation Inclusion Panel co-developed a series of events to address improving inclusion in health and care research. This report shares insights from the expert speakers who participated in events, as well as reflections and learnings from running the series.)

Key findings from Healthwatch England’s national dental polling in 2022.
Healthwatch; 2022.

(A representative poll of 2,026 adults based in England on attitudes to NHS dentistry shows that half of the adults in England find dental charges unfair amid escalating living costs. More than two in five respondents (40 per cent) said they found it difficult to book an NHS dental appointment, while one in five (20 per cent) couldn’t access all the treatments they needed. Healthwatch England has warned decision-makers that NHS dentistry is in desperate need of reform.)

Smoking and social housing: Supporting residents, addressing inequalities.
Housing Learning and Improvement Network (HLIN); 2022.

(This report is a collaboration between Action on Smoking and Health (ASH) and the Housing Learning and Improvement Network (LIN). It outlines the case for reducing rates of smoking in the social housing sector as part of social landlords’ health and wellbeing activities and the action needed to achieve this.)

A picture of health? Bridging the gap between physical and mental healthcare in adult mental health inpatient settings.
National Confidential Enquiry into Patient Outcome and Death (NCEPOD); 2022.

(This report suggests that a physical health care plan should be developed when patients are admitted to a mental health inpatient setting. Other key messages aimed at improving care include calls to: formalise clinical networks/pathways between mental health and physical health care; involve patients and their carers in their physical health care, and include mental health and physical health conditions on electronic patient records.)


The Impact of Dementia on Women.
Alzheimer’s Research UK; 2022.

(This report calls for action to tackle dementia’s disproportionate impact on women and to ensure women can make a full contribution to research, both as participants and as researchers.)

Mental Health and Wellbeing Plan

Discussion plan and call for evidence

Source: The King’s Fund

The government is committed to improving mental health and wellbeing outcomes, particularly for people who experience worse outcomes than the general population. To support this objective, it has committed to develop a new cross-government, 10-year plan for mental health and wellbeing for England. This discussion paper and call for evidence seek views on what can be done to improve everyone’s mental health and wellbeing.

Public Health

Current Awareness Updates

WHO European regional obesity report 2022

(Overweight and obesity affect almost 60 per cent of adults and nearly one in three children in the WHO European Region. Recent estimates suggest that overweight and obesity is the fourth most common risk factor for noncommunicable diseases in the Region, after high blood pressure, dietary risks and tobacco. This report examines the growing challenge and impact of obesity in the Region and focuses on managing obesity throughout the life course and tackling obesogenic environments. It also considers more recent challenges, including problematic digital marketing to children and the impact of the Covid-19 pandemic on obesity prevalence.)

Doctor’s orders: Why adherence is critical to improving health outcomes across the life course

(Nearly half of all adults and approximately 8% of children worldwide have a chronic condition. Yet, studies have shown that adherence to medication is poor. This is expensive for governments, requiring three extra medical visits per year. This article from the ILC suggests some key recommendations to support adherence.)

Thousands of people with diabetes set to benefit from real time information after updated NICE recommendations

(More than 250,000 people living with type 1 diabetes are set to be offered new technology to help them manage their condition and at the same time reduce the need for finger prick testing by up to 50%, following new advice from NICE.)

Link workers for population health: it’s time to get with the (social prescribing) programme

(Embedding a population health approach into health care at the local, regional and national level in England will require slow, incremental cultural shifts over the space of years, as suggested in their report; A vision for population health.)

Library Bulletin

Serious Mental Illness Bulletin

With thanks to our colleagues at Greater Manchester Mental Health NHS Foundation Trust the April bulletin for serious mental illness is now available to view and download.

The links to abstracts have been activated in this bulletin and if you click on the title, it will lead you to the abstract.  

Some of the references contained in the bulletin may be an Open Access reference, which will be available for you download and some may be available to download via a LSCFT Athens Account login. Some of the references may be an abstract only, and the full text will have to be requested directly from the library- please contact academic.library@lscft.nhs.uk with your request. .  

Serious-Mental-Illness-bulletin-April-2021Download

Public Health

Current Awareness Updates

Young Changemakers tackling mental health inequalities in racialised communities.
Centre for Mental Health; 2022.
https://www.centreformentalhealth.org.uk/publications/voice-change
[It is well documented that people from racialised communities face inequalities in mental health. Young Changemakers is a programme created by UK Youth, The Diana Award and Centre for Mental Health to equip young people with the tools to produce youth-led social action projects aimed at tackling these mental health inequalities. This is a three-year programme funded by the People’s Postcode Lottery and Comic Relief to support mental health in young people from racialised communities.]

Evaluating a community programme to promote young Black men’s mental health.
Centre for Mental Health; 2022.
https://www.centreformentalhealth.org.uk/publications/shifting-dial
[Young Black men are overrepresented in restrictive mental health settings, but are less likely to get early community-based mental health support. Shifting the Dial shares learning from a three-year project to promote the mental health and wellbeing of young Black men in Birmingham. The project built upon the findings from an earlier pilot, Up My Street. Shifting the Dial has worked with over 500 young Black men, offering peer support, mentoring, skills development and community events.]

The People and Nature Survey.
Natural England; 2022.
https://www.gov.uk/government/collections/people-and-nature-survey-for-england#full-publication-update-history
[The People and Nature Survey for England gathers evidence and trend data through an online survey relating to people’s enjoyment, access, understanding of and attitudes to the natural environment, and its contributions to wellbeing. 13 April 2022: New data for February 2022 added to monthly interim indicators data section. Also new data for year 2 quarter 2 (1st April 2020 – 30th September 2021) added to Adult Survey section.]

Daily Insight: Infection control calls heeded.
HSJ: Health Service Journal (Daily Insight) 2022;:7032315.
[NHS England has relaxed the isolation period for inpatients with covid-19 after the UK Health Security Agency changed its recommendations. Also: Although describing integrated care system ratings as a “bit of a distraction” in an interview with HSJ the CQC chief executive Ian Trenholm set out what systems could soon expect to see over the coming months. 20 April.]

The public’s experience of monitoring their blood pressure at home.
Healthwatch; 2022.
https://www.healthwatch.co.uk/report/2022-04-26/publics-experience-monitoring-their-blood-pressure-home
[People with high blood pressure are increasingly being asked to monitor their condition at home. The NHS programme ‘Blood Pressure @Home’ (BP@Home) enables people with high blood pressure to measure and share their blood pressure readings with their GP from home. This report evaluates that programme to see how it is working for patients and how GPs use their readings, and suggests steps the NHS can take to improve support and outcomes for people who monitor their blood pressure from home.]

Adult tier 2 weight management services provisional data for quarters 1 to 3, 2021 to 2022 (experimental statistics).
Office for Health Improvement & Disparities (OHID); 2022.
https://www.gov.uk/government/statistics/adult-tier-2-weight-management-services-provisional-data-for-quarters-1-to-3-2021-to-2022-experimental-statistics
[Provisional data from the adult tier 2 behavioural weight management services data collection from quarter 1 and 3 of the 2021 to 2022 financial year.]